Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09427 | Date 05/04/2021 |
| Token No | SM/21-22/130 05/04/2021 | Serial | 043 Last Visit: 01/12/2021 |
| Patient Name | Mr. ATANU KUNDU | Contact No | 9830473837 |
| Address | 24/2/A,GOYALA PARA BOWBAZAR CHATRA | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||